Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $7,413.10	Facility		$707.95	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $489.78	Professional		$151.36	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $269.15	Professional		$67.61	$151.36	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $1,047.13	Facility		$151.36	$251.19	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $346.74	Professional		$165.96	$245.47	$346.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $151.36	Facility		$87.10	$131.83	$151.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $263.03	Professional		$125.89	$177.83	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $257.04	Facility		$151.36	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $436.52	Professional		$190.55	$281.84	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,238.72	Professional		$1,949.84	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $3,715.35	Facility		$165.96	$302.00	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $489.78	Professional		$158.49	$257.04	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $389.05	Facility		$158.49	$251.19	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $446.68	Professional		$190.55	$295.12	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04